后腹腔镜肾盂输尿管切开取石术(附12例报告)  

Retroperitoneal laparoscopic pyelolithotomy and ureterolithotomy (report of 12cases)

作　　者：程晓冬[1] 丛军[1] 施卫国[1] 董坚[1] 周云海[1] 王建宇[1] 

机构地区：[1]江苏省无锡市第二人民医院泌尿外科,江苏无锡214002

出　　处：《中国内镜杂志》2005年第4期392-393,共2页China Journal of Endoscopy

摘　　要：目的探讨后腹腔镜肾盂输尿管切开取石术技术要点和临床疗效.方法采用后腹腔镜技术行肾盂输尿管切开取石术12例,其中6例ESWL史,2例输尿管镜手术史,4例为初诊病例;结石长径1.2-2.5 cm,平均1.6 cm.结果 12例手术全部取石成功,手术120-180 min,平均150 min,术后无并发症,随访3-6个月,肾积水及肾功能均有不同程度好转,输尿管无狭窄.结论后腹腔镜下肾盂输尿管切开取石术安全有效,可部分取代开放手术,具有良好的临床应用前景.[Objective]To investigate the technical detail of retroperitoneal laparoscopic pyelolithotomy and ureterolithotomy, evaluate its clinical effect.Retroperitoneal laparoscopic pyelolithotomy and ureterolithotomy was carried out in 12 patients. ESWL was ineffective in 6 patients and ureteroscopic lithotomy failed in 2 patients. 4 patients were primary procedures. The stone size ranged from 1.2 cm to 2.5 cm (mean 1.6 cm) with the incarceration time from 3 months to 2 years. All the operations were successful in the 12 patients. The operations took 120~180 min with a mean time of 150 min. During the follow-up period of 12 patients, there was no ureteric stricture or recurrent calculus found, and all patients, renal function had been improved. [Conclusions] Retroperitoneal laparoscopic pyelolithotomy and ureterolithotomy is a safe and effective minimally invasive procedure, it can take place of conventional open surgery in part. The surgical procedure will have a good prospect in the urologic clinical practice.

关 键 词：腹腔镜 肾孟结石 输尿管结石 

分 类 号：R693.4[医药卫生—泌尿科学]